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Why did these lesions appear?

Figure 1 Quiz of the Week

A 58-year-old woman presents two days after a cardiac catheterization with malaise, fatigue, and new violaceous livedoid lesions on her feet. She is also found to have mild acute renal dysfunction.

What is the cause of her symptoms?


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Image credit: @hfehmi.

 

Answer: Cholesterol embolization syndrome

When small particles of atheroma embolize during a vascular procedure, the symptoms can vary depending on the tissues affected by these microscopic cholesterol crystals. Common features include acute kidney injury, livedo reticularis, TIAs, and gastrointestinal symptoms.

Read more and join the discussion now at Figure 1!

 


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